East End Neurology PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

208448 Issued in NY

Legal business name

EAST END NEUROLOGY PLLC

Practice address

15 N Ocean Ave
Center Moriches, NY 11934-2320

Phone

(631) 734-7648

Fax

(631) 734-7287

NPI assigned

Apr 3, 2007

Last updated

May 5, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jorge Alberto Reiley, MDNPI 1053487058

Title

MD

Phone

(631) 734-7648

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge Alberto Reiley, MD

  • Neurology Physician
  • Center Moriches, NY
  • NPI 1053487058
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1235250614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAK RIDGE CT",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493240",
            "telephone_number": "631-734-7648",
            "fax_number": "631-734-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N OCEAN AVE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342320",
            "telephone_number": "631-734-7648",
            "fax_number": "631-734-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "REILEY",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-734-7648",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "208448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliatt A Di Lieto Jr., LMSW
• Christopher Gene Doloroso, LMSW, CASAC-T, QDCP
• Rebecca Donovan
• Alyssa Noelle Duchesne, LCSW
• Dawn Marie Dunn, MSOTRL
• Eastern Long Island Oral Surgery
• Alba Carola Estupinan, LMSW
• Federation Employment and Guidance Service, Inc. (FEGS Health and Human Services)
• Justine Ferrari
• Jessica Ficaro, SLP

• Neurology Physician in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.